| NPI | 1821031642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM LACEN President 787-863-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 14-F-3060) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-10-11 |